You Diagnose Pericarditis at your Peril (at the Patient’s Peril!)
The source of this case is anonymous. A 40 something woman with a history of hyperlipidemia and additional risk factors including a smoking…
A Wide Complex Rhythm in an Intoxicated Patient
This patient presented with altered mental status and was thought to be intoxicated. He did not have any other apparent medical issues.…
Chest Pain and Inferior ST Elevation.
A middle-aged patient with lung cancer had presented to clinic complaining of generalized malaise, cough, and chest pain. He had…
Patient with Paced Rhythm in Severe Cardiomyopathy Presents with SOB due to Acute Decompensated Heart Failure
This is a middle-aged male with h/o with a history of heart failure with severely reduced ejection fraction due to dilated ischemic…
An elderly woman found down with bradycardia and hypotension
Submitted by Alex Bracey, with edits by Pendell Meyers and Steve Smith A female in her 70s with PMH of hypertension, coronary artery disease,…
Left Bundle Branch Block, Severe Chest pain, Previous Normal Angio. What is going on?
A middle-aged woman with idiopathic cardiomyopathy and biventricular failure, with previous EF of 15%, presented with sudden onset severe…
Chest pain, Ventricular Paced Rhythm, and a Completely Normal Angiogram 3 Months Prior.
One of our graduates, Rochelle Zarzar, who is now an education fellow, sent me this from one of the hospitals she works at now: An elderly…
Weakness, head trauma, and an abnormal ECG
Written by Pendell Meyers, with edits by Steve Smith A man in his 50s with history of CAD s/p CABG, CHF, and COPD presented after several…
RBBB and inverted hyperacute T-wave in V3. Do not let negative posterior leads dissuade you!
An elderly male with history of MI 10 years prior called 911 for chest pain. Here is the prehospital ECG: What do you think? Computer only…
ST Depression and T-wave Inversions after ROSC from Resp and Cardiac Arrest after Head Trauma
This patient had a head injury and was unconscious. He was found without respirations or pulse. Prehospital CPR resulted in…